Clinical characteristics and treatment outcomes among stroke patients hospitalized to Nekemte referral hospital, western Ethiopia

Fekadu, Ginenus; Adola, Bori; Mosisa, Getu; Shibiru, Tesfaye; Chelkeba, Legese

doi:10.1016/j.jocn.2019.08.075

Cited by 23 publications

(46 citation statements)

References 29 publications

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“…This is in line with study done in Ethiopia and other African countries, which revealed haemorrhagic stroke was significantly more lethal than ischaemic stroke. 19 35 39 61 62 Even though the presence of comorbid conditions and the development of complications were found to be significantly associated with poor treatment outcome in another study, 12 our study did not show this finding. The difference could be attributed to the difference pattern of comorbid conditions.…”

Section: Discussioncontrasting

confidence: 68%

“…This is in line with other studies conducted by Temesgen et al (23.5 hours) 11 and Fekadu et al (24 hours). 12 Contrary to this finding, it was shorter than the studies conducted by Sagui et al (48 hours) 59 Open access (69.42 hours). 51 In contrast, it was delayed compared with other studies conducted by He et al (8 hours) 53 and de Carvalho et al (12.9 hours).…”

Section: Discussioncontrasting

confidence: 60%

“…This is consistent with other studies in Ethiopia, 24 41 44 Tanzania and Sri Lanka, 32 45 which reported that hypertension was the most common comorbid condition in patients with stroke. Furthermore, research performed by Fekadu et al, 12 Gebremariam and Yang 22 and Rymer 46 showed that high blood pressure and ageing blood vessels constituted a major risk factor for stroke development. The likely explanation for the high prevalence of hypertension could be poor lifestyle and public awareness and inaccessible health facilities in low/middle-income countries.…”

Section: Discussionmentioning

confidence: 99%

“…This finding is in line with various studies conducted on the management of hypertension with stroke. 12 ACE inhibitor and diuretics are widely used for the treatment of high blood pressure, which is the major modifiable risk factor for stroke. Reducing blood pressure, therefore, improves outcomes for patients with stroke.…”

Section: Discussionmentioning

confidence: 99%

“…This result is similar to other previous research carried out at Nekemte Referral Hospital, which found that study participants with higher educational levels have better treatment outcomes. 12 Educated participants may likely have improved access to information about their health status, better economic situation, better awareness about detecting and managing risk factors of stroke, and higher capacity to evaluate stressful events. Stroke patients with a low level of education are often believed to disregard self-management behaviour and adherence to their medications.…”

Section: Discussionmentioning

confidence: 99%

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Clinical pattern and predictors of stroke treatment outcome among hospitalised patients who had a stroke at Felege Hiwot comprehensive specialised hospital, northwest Ethiopia: a retrospective cross-sectional study

et al. 2020

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ObjectivesThis study aimed to assess the clinical pattern and predictors of stroke treatment outcomes among hospitalised patients in Felege Hiwot comprehensive specialised hospital (FHCSH) in northwest Ethiopia.DesignA retrospective cross-sectional study.SettingThe study was conducted medical ward of FHCSH.ParticipantsThe medical records of 597 adult patients who had a stroke were included in the study. All adult (≥18 years) patients who had a stroke had been admitted to the medical ward of FHSCH during 2015–2019 were included in the study. However, patients with incomplete medical records (ie, incomplete treatment regimen and the status of the patients after treatment) were excluded in the study.ResultsIn the present study, 317 (53.1%) were males, and the mean age of the study participants was 61.08±13.76 years. About two-thirds of patients (392, 65.7%) were diagnosed with ischaemic stroke. Regarding clinical pattern, about 203 (34.0%) of patients complained of right-side body weakness and the major comorbid condition identified was hypertension (216, 64.9%). Overall, 276 (46.2%) of them had poor treatment outcomes, and 101 (16.9%) of them died. Patients who cannot read and write (AOR=42.89, 95% CI 13.23 to 111.28, p<0.001), attend primary school (AOR=22.11, 95% CI 6.98 to 55.99, p<0.001) and secondary school (AOR=4.20, 95% CI 1.42 to 12.51, p<0.001), diagnosed with haemorrhagic stroke (AOR=2.68, 95% CI 1.62 to 4.43, p<0.001) and delayed hospital arrival more than 24 hours (AOR=2.92, 95% CI 1.83 to 4.66, p=0.001) were the independent predictors of poor treatment outcome.ConclusionsApproximately half of the patients who had a stroke had poor treatment outcomes. Ischaemic stroke was the most predominantly diagnosed stroke type. Education status, types of stroke and the median time from onset of symptoms to hospitalisation were the predictors of treatment outcome. Health education should be given to patients regarding clinical symptoms of stroke. In addition, local healthcare providers need to consider the above risk factors while managing stroke.

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Section: Discussioncontrasting

confidence: 68%

Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical pattern and predictors of stroke treatment outcome among hospitalised patients who had a stroke at Felege Hiwot comprehensive specialised hospital, northwest Ethiopia: a retrospective cross-sectional study

et al. 2020

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Level of knowledge, prevention practice, and predictors towards stroke among diabetic and hypertensive patients having a follow up at University of Gondar Comprehensive Specialized Referral Hospital, Northwest Ethiopia. A cross-sectional study

Mekuria

Kifle

Melak

2022

Clinical Epidemiology and Global Health

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Background: Because of poor health care service delivery and a low level of public awareness of the disease the incidence and disability rate of stroke has been increased. The study aimed to assess the knowledge, prevention practice, and associated socio-demographic factors towards stroke among hypertensive and diabetic patients. Method: Cross-sectional based study design was applied on hypertensive and diabetic patients after they were selected with a simple random sampling technique. The data were collected with a structured intervieweradministered questionnaire. Result: All the computed 382 respondents responded with a response rate of 100%. Among the participants 52.36% were males. The finding showed that the respondents had 36.65% and 42.67% good knowledge and prevention practice of stroke respectively. The associated demographic factors with good knowledge of stroke were urban residency [AOR, (95% CI), 4.54 (2.23-9.25)], Age <50 years [AOR, 95% CI; 1.80 (1.06-3.05)], educational status [AOR, 95% CI; 2.78 (1.45-5.31)], monthly income [AOR.95% CI;] and >5 years' duration of the disease [AOR, 95% CI;]. Similarly, urban residency [AOR, (95% CI); 1.91 (1.06-3.43)], being educated [AOR, 95% CI; 2.98 (1.67-5.31) monthly income [AOR, 95% CI; 2 (1.20-3.32)] and medical condition become hypertension (HTN) with Diabetes mellitus (DM) [AOR, 95% CI;] were strongly associated factors with good prevention practice of stroke. However, the occupational status being Farmer [AOR, 95% CI; 0.31 (0.107-0.91)] was preventive against good prevention practice of stroke. Conclusion:The study showed that the respondent's level of knowledge and prevention practice towards stroke was limited.

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Magnitude and predictors of stroke treatment outcomes in low resource settings: A cross-sectional study

Bekele¹,

Tafese²,

Mohammed³

et al. 2023

International Journal of Africa Nursing Sciences

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Clinical characteristics and treatment outcomes among stroke patients hospitalized to Nekemte referral hospital, western Ethiopia

Cited by 23 publications

References 29 publications

Clinical pattern and predictors of stroke treatment outcome among hospitalised patients who had a stroke at Felege Hiwot comprehensive specialised hospital, northwest Ethiopia: a retrospective cross-sectional study

Clinical pattern and predictors of stroke treatment outcome among hospitalised patients who had a stroke at Felege Hiwot comprehensive specialised hospital, northwest Ethiopia: a retrospective cross-sectional study

Level of knowledge, prevention practice, and predictors towards stroke among diabetic and hypertensive patients having a follow up at University of Gondar Comprehensive Specialized Referral Hospital, Northwest Ethiopia. A cross-sectional study

Magnitude and predictors of stroke treatment outcomes in low resource settings: A cross-sectional study

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